American trypanosomiasis, or Chagas disease, is caused by the
protozoan parasite, Trypanosoma cruzi. Sixteen to eighteen million
people are currently infected with this organism, and 45,000 deaths
are attributed to the disease each year. Infection with T. cruzi is
life-long, and 10-30% of persons who harbor the parasite
chronically develop cardiac and gastrointestinal problems
associated with the parasitosis. Although major progress has been
made in recent years in reducing vector-borne and
transfusion-associated transmission of T. cruzi, the burden of
disability and death in persons chronically infected with the
organism continues to be enormous. Eight to ten million persons
born in countries in which Chagas disease is endemic currently
reside in the United States, and epidemiologic and census data
suggest that 50,000-100,000 are chronically infected with T. cruzi.
The presence of these infected persons poses a risk of transmission
of the parasite in the USA through blood transfusion and organ
transplantation and several such cases have now been
documented.
American Trypanosomiasis, volume seven of World Class Parasites
is written for students of tropical medicine, parasitology and
public health, for researchers and practitioners alike who wish to
bring themselves abreast of the status quo with respect to this
disease. It is intended to supplement formal textbooks, in order to
broaden and illuminate current areas of scientific and public
health concern. Uniquely for T. cruzi, this book addresses
parasite, vector and host biology, the pathogenesis of Chagas
disease and current and prospective therapeutics and control
strategies in a single volume.
General
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